Forum - Questions & Answers
CPT® not allowed w/same date of service ( Physician Bill)
I have a patient with dx: 263.9, 276.1, 533.90
CPT® codes 44005, 36556, and 43632. The CCI Edit says CPT® not allowed with same date of service. Modifier may or may not be needed. I am trying to bill the claim out but I am not sure how to correct it. The CCI edit applies to 44005 & 36556. Any suggestions?
44005 is a separate procedure
You can read in the CPT® book about separate procedures.
44005 bundles with 43632 and there are no circumstances in which a modifier would be appropriate to unbundle this combination.
44005 and 43632?
So the 44005 should be removed and just use 43632?